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Individual

HYACINTH VIOLA HUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PERSONALCARE ASST

Contact information

Practice address
1631 NW 46TH AVE, 114, LAUDERHILL, FL 33313-7171
(954) 258-1814
Mailing address
1631 NW 46TH AVE APT 114, LAUDERHILL, FL 33313-7171
(954) 258-1814

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
680229096
FL
374U00000X
Home Health Aide
680229096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680229096
MEDWAIVER
FL
Enumeration date
07/17/2008
Last updated
07/17/2008
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